Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Community/Behavioral Health |
251S00000X |
| NPI # | 1710412960 |
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| LBN Legal business name | APPLEGATE HEALTH SERVICES, INC. | ||||||||
| Authorized official | BRUCE JARVIE - (VP, TREASURER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/25/2017 | ||||||||
| Last updated | 07/31/2025 - About 10 months ago | ||||||||
| Identifiers |
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